Organization
JIGNESH LLC
Active
Other names
JAY'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNESH PATEL (PHARMACIST)
(352) 874-5741
Entity
Organization
Contact information
Practice address
828 S JEFFERSON ST, PERRY, FL 32347-4119
(850) 584-7800
(850) 584-7803
Mailing address
828 S JEFFERSON ST, PERRY, FL 32347-4119
(850) 584-7800
(850) 584-7803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018108700
—
FL
01
—
2160277
PK
—
Enumeration date
05/19/2016
Last updated
02/14/2017
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